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Statement of Organization <br />Recipient Committee <br />Statement Type 0 Initial ti <br />Q Not yet qualified <br />or <br />Q Date qualification threshold met <br />1. Committee Information <br />E Amendment <br />Date qualification threshold met <br />/ 30 / 2-°11 <br />I.D. Number � 2 <br />- <br />_ f <br />(if applicable) 8 122 <br />NAME OF COMMITTEE W a `o,� T _qac (moo( r r4. 1,0 t <br />($3a Crt,� •1 <br />Date Stamp <br />SE <br />RECoEIVce EtD AND � of stat <br />0 Termination —See Part of the State of California <br />Date of termination <br />STREET ADDRESS (NO P.O. 80X) <br />R_ V J rat_ C/q- <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY OF DOMICILE <br />R eir5rk <br />JURISDICTION WHERE COMMITTEE I5 ACTIVE <br />CC6 o]- C.J rc, 7 <br />Attach additional information on appropriately labeled continuation sheets. <br />FEB 2 2 2019 <br />Treasurer and Other Principal Officers <br />NAME OF TREASURER <br />r v 1 c ?Ch <br />STREET ADDRESS (NO P.O. BOX) <br />For OfficiJse Only <br />MAR 7 20 <br />9 <br />ae <br />CITY <br />C V e(5 1 ti <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STATE ZIP CODE AREA CODE/PHONE <br />c4 M1.11011111M <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />NAME OF P INCIPAL OFFICER(S) <br />oaf CAJ r) ow R 5 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />3. Verification <br />I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I:;certi`ff`) under <br />penalty of perjury under the lawns of the State of California that the fore oing is true and correct. <br />Executed on 2.. -20r 2_0(1 By <br />SIGNATURE OF TREASURER OR ASSISTANT TREASURER <br />Executed on By <br />DATE <br />DATE <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />